Demographic and psychosocial factors associated with limited health literacy in a community-based sample of older Black Americans

Stacy N. Davis, Jonathan W. Wischhusen, Steven K. Sutton, Shannon M. Christy, Enmanuel A. Chavarria, Megan E. Sutter, Siddhartha Roy, Cathy D. Meade, Clement K. Gwede

Research output: Contribution to journalArticle

Abstract

Objectives: Individuals with limited health literacy often experience suboptimal health outcomes. This study examined the frequency of limited health literacy and demographic and psychosocial factors associated with limited health literacy in a sample of older Black Americans. Methods: Participants (n = 330) enrolled in a community-based intervention to promote colorectal cancer (CRC) screening completed baseline surveys assessing health literacy with the Rapid Estimate of Adult Literacy in Medicine, Revised (REALM-R) test, CRC awareness, cancer fatalism, Preventive Health Model (PHM) constructs, and demographics. Results: Approximately 52% of participants had limited health literacy, the REALM-R score was 5.4 (SD = 2.7). Univariable correlates of limited health literacy were gender, employment, income, prior screening, cancer fatalism, CRC awareness, and PHM constructs (religious beliefs, salience/coherence, perceived susceptibility). Multivariable correlates of limited health literacy were male gender (OR = 2.3, CI = 1.4–3.8), unable to work (OR = 2.8, CI = 1.3–6.1), lower household income (OR = 3.0, CI = 1.6, 5.5), and higher PHM religious beliefs (OR = 1.1, CI = 1.0–1.2). Conclusion: Limited health literacy was associated with multiple complex factors. Interventions should incorporate patient health literacy and low-literacy materials that can be delivered through multiple channels. Practice implications: Future studies are needed to understand the role of health literacy in an individual's health behavior and the provision of effective healthcare.

Original languageEnglish (US)
JournalPatient Education and Counseling
DOIs
StateAccepted/In press - Jan 1 2019

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Health Literacy
Demography
Psychology
Colorectal Neoplasms
Health
Religion
Early Detection of Cancer
Medicine
Health Behavior
Delivery of Health Care

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Davis, S. N., Wischhusen, J. W., Sutton, S. K., Christy, S. M., Chavarria, E. A., Sutter, M. E., ... Gwede, C. K. (Accepted/In press). Demographic and psychosocial factors associated with limited health literacy in a community-based sample of older Black Americans. Patient Education and Counseling. https://doi.org/10.1016/j.pec.2019.08.026
Davis, Stacy N. ; Wischhusen, Jonathan W. ; Sutton, Steven K. ; Christy, Shannon M. ; Chavarria, Enmanuel A. ; Sutter, Megan E. ; Roy, Siddhartha ; Meade, Cathy D. ; Gwede, Clement K. / Demographic and psychosocial factors associated with limited health literacy in a community-based sample of older Black Americans. In: Patient Education and Counseling. 2019.
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Demographic and psychosocial factors associated with limited health literacy in a community-based sample of older Black Americans. / Davis, Stacy N.; Wischhusen, Jonathan W.; Sutton, Steven K.; Christy, Shannon M.; Chavarria, Enmanuel A.; Sutter, Megan E.; Roy, Siddhartha; Meade, Cathy D.; Gwede, Clement K.

In: Patient Education and Counseling, 01.01.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Demographic and psychosocial factors associated with limited health literacy in a community-based sample of older Black Americans

AU - Davis, Stacy N.

AU - Wischhusen, Jonathan W.

AU - Sutton, Steven K.

AU - Christy, Shannon M.

AU - Chavarria, Enmanuel A.

AU - Sutter, Megan E.

AU - Roy, Siddhartha

AU - Meade, Cathy D.

AU - Gwede, Clement K.

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N2 - Objectives: Individuals with limited health literacy often experience suboptimal health outcomes. This study examined the frequency of limited health literacy and demographic and psychosocial factors associated with limited health literacy in a sample of older Black Americans. Methods: Participants (n = 330) enrolled in a community-based intervention to promote colorectal cancer (CRC) screening completed baseline surveys assessing health literacy with the Rapid Estimate of Adult Literacy in Medicine, Revised (REALM-R) test, CRC awareness, cancer fatalism, Preventive Health Model (PHM) constructs, and demographics. Results: Approximately 52% of participants had limited health literacy, the REALM-R score was 5.4 (SD = 2.7). Univariable correlates of limited health literacy were gender, employment, income, prior screening, cancer fatalism, CRC awareness, and PHM constructs (religious beliefs, salience/coherence, perceived susceptibility). Multivariable correlates of limited health literacy were male gender (OR = 2.3, CI = 1.4–3.8), unable to work (OR = 2.8, CI = 1.3–6.1), lower household income (OR = 3.0, CI = 1.6, 5.5), and higher PHM religious beliefs (OR = 1.1, CI = 1.0–1.2). Conclusion: Limited health literacy was associated with multiple complex factors. Interventions should incorporate patient health literacy and low-literacy materials that can be delivered through multiple channels. Practice implications: Future studies are needed to understand the role of health literacy in an individual's health behavior and the provision of effective healthcare.

AB - Objectives: Individuals with limited health literacy often experience suboptimal health outcomes. This study examined the frequency of limited health literacy and demographic and psychosocial factors associated with limited health literacy in a sample of older Black Americans. Methods: Participants (n = 330) enrolled in a community-based intervention to promote colorectal cancer (CRC) screening completed baseline surveys assessing health literacy with the Rapid Estimate of Adult Literacy in Medicine, Revised (REALM-R) test, CRC awareness, cancer fatalism, Preventive Health Model (PHM) constructs, and demographics. Results: Approximately 52% of participants had limited health literacy, the REALM-R score was 5.4 (SD = 2.7). Univariable correlates of limited health literacy were gender, employment, income, prior screening, cancer fatalism, CRC awareness, and PHM constructs (religious beliefs, salience/coherence, perceived susceptibility). Multivariable correlates of limited health literacy were male gender (OR = 2.3, CI = 1.4–3.8), unable to work (OR = 2.8, CI = 1.3–6.1), lower household income (OR = 3.0, CI = 1.6, 5.5), and higher PHM religious beliefs (OR = 1.1, CI = 1.0–1.2). Conclusion: Limited health literacy was associated with multiple complex factors. Interventions should incorporate patient health literacy and low-literacy materials that can be delivered through multiple channels. Practice implications: Future studies are needed to understand the role of health literacy in an individual's health behavior and the provision of effective healthcare.

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